Medicare Duval Florida Call Us at 800-864-8813
Medicare Duval Florida.
The state and federal government share the cost of Medicare Duval Florida. Medicare Duval Florida are administered by the Agency for Health Care Administration. Medicare Duval Florida eligibility in Duval is determined either by the Department of Children and Families (DCF) or the Social Security Administration (for SSI recipients). DCF determines Duval Medicaid eligibility for: Parents and caretakers relatives of children Children Pregnant women Former Foster Care Individuals Non-citizens with medical emergencies Aged or disabled individuals not currently receiving Supplemental Security Income (SSI)Additional information about Medicare Duval Florida for low-income families is available in the Family-Related Duval FL Medicaid Fact Sheet. Information regarding income limits can be found on the Family-Related Medicaid Duval Income Limits Chart.
If an individual wants to apply using a paper application, the Family-Related Medical Assistance Application in Duval Florida is for individuals who desire to apply for medical assistance only. If the individual wants to apply for other programs, such as Temporary Cash Assistance and/or food assistance the individual must complete the ACCESS Florida Application. Two paper applications will be required if the individual is requesting Family-Related Medicaid in addition to other programs. Applications for individuals not determined eligible for Medicaid will be referred electronically to the Federally Facilitated Marketplace or Florida Healthy Kids.
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For more information about the Federally Facilitated Marketplace and Florida Healthy Kids, Medicare Duval Florida hospital providers may elect to make presumptive eligibility determinations in accordance with federal law and state policy. Qualified hospitals (QH) may make presumptive eligibility determinations for: pregnant women, infants and children under age 19, parents and other caretaker relatives of children, and individuals under age 26 receiving Medicare in Duval Florida when they aged out of Florida foster care. Duval Medicaid providers may access the Agency for Medicare Duval Florida website at http://www.thefloridahealthinsuranceexchange.com/ for additional information about the provider enrollment process. Medicaid Duval for Parents and Caretaker Relatives of Children Parents and other caretaker relatives of children up to age 18 who live with them may be eligible for Medicare Duval Florida if the family’s countable income does not exceed certain income limits.
Individuals who receive Temporary Cash Assistance (TCA) are eligible for Medicare Duval Florida. Individuals who are eligible for TCA, but choose not to receive it, may still be eligible for Duval Medicaid. Families who lose Medicare Duval Florida eligibility due to earned income may be eligible for up to twelve (12) additional months of Medicare Duval Florida if they meet certain requirements. Families that lose Duval Medicaid eligibility due to the receipt of alimony may be eligible for four (4) additional months of Medicaid. Medicaid for Children Parents and caretakers may apply for Medicaid in Duval on behalf of children under age 21 living in their home if the family income is under the limit for the age of the child. There is no requirement for a child to reside with an adult caretaker to qualify for Medicare Duval Florida.
During the temporary coverage period, the pregnant woman will need to submit an application to have her ongoing Duval Medicaid eligibility determined. Women with family income over the limit for Medicaid may qualify for Medicare Duval Florida Program. For more information, see The Florida health insurance exchange id Factsheet. Former Foster Care Individuals Individuals who are under age 26 may receive Duval Medicaid if they were in foster care under the responsibility of the State and receiving Florida Duval Medicaid when they aged out of foster care. There is no income limit for this program. Emergency Duval Medical Assistance For Non-Citizens Non-citizens, who are Medicaid eligible except for their citizenship status, may be eligible for Medicaid to cover a serious medical emergency.
This includes the emergency labor and delivery of a child. Before Medicaid may be authorized, applicants must provide proof from a medical professional stating the treatment was due to an emergency condition. The proof also must include the date(s) of the emergency. Medicaid for Aged or Disabled Medicaid for low-income individuals who are either aged (65 or older) or disabled is called SSI-Related Medicaid. Florida residents who are eligible for Supplemental Security Income (SSI) are automatically eligible for Medicaid coverage from the Social Security Administration.
There is no need to file a separate ACCESS Florida Application unless nursing home services are needed. Individuals may apply for regular Medicaid coverage and other services using the online ACCESS Florida Application and submitting it electronically. If long-term care services in a nursing home or community setting are needed, the individual must check the box for HCBS/Waivers or Nursing Home on the Benefit Information screen. HCBS/Waiver programs provide in-home or assisted living services that help prevent institutionalization. Medicare Savings Programs (Medicare Buy-In) help Medicare beneficiaries with limited finances pay their Medicare premiums; and in some instances, deductibles and co-payments. Medicare Buy-In provides different levels of assistance depending on the amount of an individual or couple’s income. Individuals may apply for Medicare Buy-In coverage only by completing a Medicaid/Medicare Buy-In Application. Print the form, complete it and mail or fax it to a local Customer Service Center.
Individuals eligible for Medicaid or a Medicare Savings Program are automatically enrolled in Social Security’s Extra Help with Part D (Low Income Subsidy) benefit for the remainder of the year. An individual may also apply directly with Social Security for the Medicare Extra Help Program. Individuals who do apply directly for the Medicare Extra Help Program have the option of having the same application consideration for the Medicare Savings Program. If the individual takes the option of having the Medicare Extra Help Program application considered for the Medicare Savings Program, the Social Security Administration will send information electronically to Florida and the individual will be contacted.
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Note: The following programs are not under the Department of Children & Families. Individuals who are not eligible for Medicaid may get help with the cost of prescription drugs through theFlorida Discount Drug Card Program. Florida Medicare Advantage Plus Prescription Drug Plans The plans below offer Medicare Advantage and Part D coverage to Florida residents. Medicare Advantage plans, also known as Medicare Part C, are alternatives to original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans’ Part D component helps cover prescription drugs. Even if a plan’s monthly premium is $0, you would still pay the equivalent of the original Medicare premium. Not all plans shown here will be available to you; enter your zip code to see plans in your area.